Provider Demographics
NPI:1598876518
Name:GONZALEZ NIETO, HUGO (MD)
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:
Last Name:GONZALEZ NIETO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 PRAIRIE VIEW PLACE
Mailing Address - Street 2:P.O. BOX 1750
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68848-1750
Mailing Address - Country:US
Mailing Address - Phone:308-865-2000
Mailing Address - Fax:308-865-2931
Practice Address - Street 1:1755 PRAIRIE VIEW PLACE
Practice Address - Street 2:RICHARD H. YOUNG HOSPITAL
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68848-1750
Practice Address - Country:US
Practice Address - Phone:308-865-2000
Practice Address - Fax:308-865-2931
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2000-362084P0800X
NE239012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NME5266Medicaid
NMH43337Medicare UPIN